{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T12:11:21Z","timestamp":1771935081073,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:00:00Z","timestamp":1736294400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pediatric first web space contractures of the hand can lead to disability in hand function. Several techniques have been proposed for treating this condition. Recently, a new technique involving the first palmar cutaneous flap was described in a cadaveric study. This report aimed to elucidate the clinical outcomes of the first palmar intermetacarpal flap in patients with congenital first web space contractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>Case series of patients with moderate\u2010to\u2010severe first web contracture underwent surgery with the first palmar intermetacarpal flap. The variables included age, sex, diagnosis, preoperative and postoperative first intermetacarpal angle (IMCA), associated surgical procedures, postoperative complications, and follow\u2010up time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten patients with a median age of 4\u2009years and 8\u2009months (range: 1\u2009year and 5\u2009months\u201316\u2009years and 6\u2009months) underwent surgery on a total of 12 hands. The median follow\u2010up was 25\u2009months (range: 12\u201349\u2009months). IMCA increased in all patients following surgery, from a preoperative median of 20\u00b0 (range: 0\u00b0\u201320\u00b0) to a postoperative median 40\u00b0 (range: 30\u00b0\u201340\u00b0). Associated surgical procedures were performed in eight cases. Five simple complications occurred, including four cases of full\u2010thickness skin graft pigmentation and one case of distal flap tip dehiscence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The first palmar intermetacarpal flap is an effective option in the surgical management of moderate\u2010to\u2010severe first web contractures.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.70022","type":"journal-article","created":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T07:00:26Z","timestamp":1736406026000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["First Palmar Intermetacarpal Flap for Congenital First Web Contracture: A Case Series"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1635-8774","authenticated-orcid":false,"given":"Diego","family":"Gonzalez\u2010Morgado","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery Department Hospital Universitari Vall d'Hebron, Universitat Autonoma de Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivian","family":"Sinclair","sequence":"additional","affiliation":[{"name":"UCL Medical School, University College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao F.","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery Children's Hospital of Soochow University  Suzhou Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3010-4006","authenticated-orcid":false,"given":"Javier","family":"Buend\u00eda\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"Plastic Surgery Department Hospital Cl\u00ednico San Carlos  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9028-2579","authenticated-orcid":false,"given":"Juliana","family":"Rojas\u2010Neira","sequence":"additional","affiliation":[{"name":"Hand Surgery and Microsurgery Department Farallones Clinic, Christus Health  Cali Colombia"},{"name":"Pontificia Javeriana University  Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1759-9868","authenticated-orcid":false,"given":"Francisco","family":"Soldado","sequence":"additional","affiliation":[{"name":"Pediatric Hand Surgery and Microsurgery, Barcelona Children's Hospital, HM Nens, HM Hospitales  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1297\u20103203(02)00103\u20108"},{"key":"e_1_2_7_3_1","first-page":"557","article-title":"Leprosy in Theory and Practice","volume":"51","author":"Cochrane R. 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